Chirwere cheshuga mellitus chirwere chendocrine chinoitika nekuda kwe insulin hormone inoshaya uye inoratidzwa nehupamhi hwehuga muropa. Dzidzo dzinoratidza kuti kune iye zvino vanopfuura mamiriyoni 200 varwere vane chirwere cheshuga munyika. Nhamo, mushonga wemazuva ano hauna kuwana nzira dzokurapa chirwere ichi. Asi kune mukana wekudzivirira chirwere ichi nekugara uchitaura mamwe maitiro e insulini.
Kuverenga kwehuwandu hwe insulin kune varwere vane ukama hwakasiyana hwechirwere
Iko kuverenga kunoitwa maererano neurongwa hunotevera:
- zvirwere zvichangobva kuongororwa: 0.5 U / kg;
- Chirwere cheshuga 1 degree nechipo chinobva gore kana kupfuura: 0.6 U / kg;
- girasi 1 chirwere cheshuga nechikwereti chisingachinji: 0.7 U / kg;
- chirwere cheshuga mumamiriro ekubhadharwa: 0.8 U / kg;
- chirwere cheshuga chakakanganiswa ketoacidosis: 0.9 ED / kg;
- chirwere cheshuga muvakadzi vane pamuviri mu III trimester: 1.0 unit / kg.
Chirwere cheimwe injectable hachifaniri kunge chiine mauniti anopfuura makumi mana, uye chirwere chezuva nezuva hachifaniri kudarika makumi manomwe ne80. Uye chiyero chemazuva ose neusiku chinenge chiri 2: 1.
Mitemo uye zvinhu zve insulin kutonga
- Kutanga kwekugadzirisa insulini, zvose zvishoma (uye / kana) ultrashort action, nemishonga yekuita kwenguva refu, inogara ichiitwa 25-30 vasati vadya.
- Zvakakosha kuchengetedza utsanana hwemaoko uye nzvimbo yejojo. Kuti uite izvi, zvichava zvakakwana kushambidza maoko ako nesipo nekupukuta nemucheka wakachena wakakanganiswa nemvura, nzvimbo yejojo.
- Kupararira kwe insulin kubva panzvimbo yejojo kunowanikwa pamitengo yakasiyana. Nzvimbo dzakakurudzirwa kuti kuve nekushambadzira kwenguva shoma insulin (NovoRapid, Actropid) mudumbu, uye nguva refu (Protafan) - mumakumbo kana matako
- Usaita jekiseni ye insulini munzvimbo imwe chete. Izvi zvinokanganisa kuumbwa kwezvisimbiso pasi peganda uye, maererano nekudaro, kusadya kwakanaka kwechirwere. Zviri nani kana ukasarudza chero jekiseni, kuitira kuti pane nguva yekugadzirisa maviri.
- Insulini yekutsvaga kwenguva refu musati yashandiswa inoda kudikanwa kwakanaka. Kushandisa-kushanda insulini haifaniri kusanganisa.
- Chirwere chacho chinoshandiswa pasi pekunze uye pamwe chete nemapanga akaunganidzwa
thumb and forefinger. Kana nheyo ichiiswa mukati, zvinogona kuti insulini inopinda musumbu. Nhanganyaya inonoka, nokuti iyi nzira inofanidza kushandiswa kwemahara hormone muropa uye kunowedzera kubata kwayo mumatumbu. - Iko kutonhorera kwakakwana kunogonawo kuchinja kubatwa kwechirwere. Saka, semuenzaniso, kana iwe ukashandisa kupisa padhini kana kumwe kupisa, ipapo insulini inowedzera kaviri sezvainopinda muropa, apo ichiri kupisa, asi zvinopesana, inoderedza nguva yekutsva ne 50%. Saka zvakakosha, kana ukachengetedza mushonga uyu mufiriji, iva nechokwadi chokuti uchibvumira kuti udzidzire kusvika kutsivhenekeri.